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COUNTY OF SAN JOAQUIN Date: 07 <br /> DEPARTMENT OF PUBLIC WORKS Received by �� <br /> DRIVEWAY AND PAVED FRONTAGES CR# 0 3 <br /> PERMIT APPLICATION <br /> APPLICANT OFFICE USE ONLY <br /> JOB#11005 ISSUE DATE, <br /> �,Ji <br /> ' ^� q �,l( J en APN Z-46'-206 - Z/ FEE DUE <br /> }l EXP.DATE DRIVEWAYS: <br /> '2?Agdress STREET Pit/&ZD. <br /> U ,C ll-,Or,I QUAD <br /> ( City,,S, e-Zip i M� TYPE It/ <br /> FORMS � LslGfl� ,� <br /> Area Code)Telephone OTE <br /> M- <br /> SITE INFORMATION �V`�O <br /> P1 s,r�e 11,j1 <br /> �Site Addres DRIVEWAY <br /> City,Lt4e Zip Codes i ��— TYPE QUANTITY WIDTHS'(\� ��-- t✓( ) AGRICULTURE @FRONTAGE <br /> (Area Code)Telephone COMMERCIAL <br /> INDUSTRIAL _ @ R/W <br /> RESIDENCE <br /> CONTRACTOR PAVED FRONTAGE <br /> LENGTH: Ft. X WIDTH: Ft. <br /> Name <br /> Address The undersigned hereby applies for permission to encroach on County Highway <br /> Right-of-Way on the Albr M side of l e.- P <br /> City,State-Zip Code approximately 0140 feet mile of <br /> >by installing <br /> (Area Code)Telephone <br /> Work <br /> will commence on or about for approximately days. <br /> SKETCH(Separate sheet may be submitted) <br /> Will this project be self-installed? NO YES Contractor's License <br /> AccessTer AppTormlDrivewayFaved frontage <br />